Active NPI
Genta Baci, MD
- Family Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101277505
- Practice address
- 825 Fairfax Ave Ste 118
Norfolk, VA 23507-1914 - Phone
- (757) 446-5951
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 237215 | MA | |
| Family Medicine Physician | 207Q00000X | 0101277505 | VA | Primary |
Addresses
Primary practice location
825 Fairfax Ave Ste 118
Norfolk, VA 23507-1914
Mailing address
825 Fairfax Ave Ste 118
Norfolk, VA 23507-1914
Other practice location 1
1 Boston Medical Ctr Pl # 5
Boston, MA 02118-2908
Phone (617) 414-4465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110080415A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
825 Fairfax Ave
Norfolk, VA 23507-1914
Phone (757) 446-5955
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
- Sentara Norfolk General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237215 | MA | MD | Family Medicine Physician |
| 0101277505 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evms Academic Physicians and Surgeons Health Services Foundation | Family Medicine | Current | Accepting new patients |
| Insted Medical PLLC | Family Medicine | Current | Accepting new patients |
| Patriot Urgent Care Professionals, PC | Current | Accepting new patients | |
| Patriot Urgent Care Professionals PC | Current | Accepting new patients | |
| Coastal Podiatry, Inc | Past | Accepting new patients | |
| Insted LLC | Family Medicine | Past | Accepting new patients |
Locations
154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161
30 Winter St
Fl 9
Boston, MA 02108
Phone (617) 595-6322
30 Winter St
Boston, MA 02108
Phone (617) 482-5292
90 Middlesex Tpke
Unit 5
Burlington, MA 01803
Phone (781) 894-6900
1030 Main St
Waltham, MA 02451
Phone (781) 894-6900
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
825 Fairfax Ave
Ste 118
Norfolk, VA 23507
Phone (757) 446-5955
3640 High St
Ste 3B
Portsmouth, VA 23707
Phone (757) 397-6344
Interoperability endpoints
- https://api.platform.athenahealth.com/25141/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
Family Medicine
-
- Urgent Care Clinic/Center
- Waltham, MA
- NPI 1417205105
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1245123587
-
- Podiatrist
- Virginia Beach, VA
- NPI 1255356713
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1720260367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE STE 118",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE STE 118",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914",
"telephone_number": "757-446-5951"
}
],
"practiceLocations": [
{
"address_1": "1 Boston Medical Ctr Pl # 5",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182908",
"country_code": "US",
"telephone_number": "617-414-4465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACI",
"first_name": "GENTA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "237215",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101277505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110080415A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.